2004～2008年太原市不同来源涂阳肺结核病人资料分析  

Analysis on Smear Positive Tuberculosis Patients of Different Sources in Taiyuan City,2004-2008

作　　者：程冬梅[1] 郑丽仙[1] 申娟[1] 鄢正渝 

机构地区：[1]太原市疾病预防控制中心,山西太原030001

出　　处：《预防医学论坛》2011年第5期471-472,479,共3页Preventive Medicine Tribune

摘　　要：[目的]比较太原市不同来源涂阳肺结核病人的有关情况,为进一步提高太原市涂阳病人的发现率提供科学依据。[方法]对2004～2008年太原市不同来源涂阳肺结核病人相关资料进行分析。[结果]2004～2008年太原市合计发现涂阳肺结核病人5 454例,其中来源于就诊的占50.95%,转诊的占41.99%,因症推荐的占5.41%,其他来源的占1.65%。涂阳病人来自就诊者所占比例总体呈下降趋势,来自转诊者所占的比例呈上升趋势(P<0.01)。2004～2008年平均痰涂阳检出率,转诊病人、就诊病人分别为32.85%、21.71%(P<0.01);咳嗽、咳痰≥3周或咯血者、咳嗽、咳痰<3周或其他症状者分别为35.08%、12.17%(P<0.01)。初诊病人X线胸片异常率,咳嗽、咳痰≥3周或咯血者、咳嗽、咳痰<3周或其他症状者分别为81.79%、60.77%(P<0.01)。[结论]2004～2008年太原市涂阳病人来自转诊者所占比例呈上升趋势;平均痰涂阳检出率,转诊病人、咳嗽咳痰时间长或咯血者较高。[Objective]To analyze the different sources of smear positive TB patients so as to provide scientific basis for improving the detection rate of smear positive tuberculosis（TB） patients.[Methods]The data of smear positive TB patients of different sources in Taiyuan city,2004-2008 were analyzed.[Results]5 454 smear positive TB patients were detected in Taiyuan city,2004-2008,those who treated accounted for 50.95%,those who were referred accounted for 41.99%,those who were recommended for symptoms accounted for 5.41% and 1.65% for other reasons.The proportion of smear positive TB patients of treatment showed downward trend and that of referring shows the opposite（P0.01）.The average sputum smear positive rates of referred and treated patients from 2004 to 2008 were 32.85% and 21.71%（P0.01） respectively;the proportion of hemoptysis patients and who coughed and expectorated ≥ 3 weeks,who coughed and expectorated 3 weeks or other symptoms was 35.08% and 12.17%（P0.01）respectively;the proportion of first-visit patients with X-ray abnormality,the proportion of hemoptysis patients and who coughed and expectorated ≥3 weeks,who coughed and expectorated 3 three weeks or other symptoms was 81.77 % and 60.77%（P0.01） respectively.[Conclusion]The proportion of smear positive TB patients from referring shows upward trend;the average sputum smear positive rate is higher among the referred patients who coughed and expectorated for a long time and the hemoptysis patients.

关 键 词：结核病 病例 来源 

分 类 号：R521[医药卫生—内科学]